UPPER BAY ANESTHESIA, LLC
NPI 1912330283
Nurse Anesthetist, Certified Registered in Elkton, MD

Q: What is Upper Bay Anesthesia, LLC's NPI number?

The NPI number for Upper Bay Anesthesia, LLC is 1912330283. It was assigned to this organization in the NPPES registry on August 9, 2013.

Q: What is Upper Bay Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since August 09, 2013

103 CHESAPEAKE BLVD STE C, ELKTON, MD 21921(443) 245-3470 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Upper Bay Anesthesia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPPER BAY ANESTHESIA, LLC (NPI 1912330283) is a healthcare organization registered as a nurse anesthetist, certified registered in Elkton, Maryland and active in the NPI registry since August 2013. The organization lists John Carlyle, General Partner/resident Agent, as its authorized official.

NPPES Registry Identity

NPI1912330283

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameUPPER BAY ANESTHESIA, LLC

Location Address103 CHESAPEAKE BLVD STE CElkton, MD 21921-6391

Mailing AddressPo Box 190Elkton, MD 21922-0190

Phone(443) 245-3470

Organization SubpartNo

Authorized OfficialJohn CarlyleGeneral Partner/resident Agent · (443) 907-3089

Enumeration DateAugust 9, 2013

Last NPPES UpdateApril 30, 2026

NPPES CertifiedApril 30, 2026

✔ NPI 1912330283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

103 CHESAPEAKE BLVD STE C, Elkton, MD 21921

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Upper Bay Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMarylandEnrollment IDO20131014000523Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Upper Bay Anesthesia, LLC, which bills Medicare for the services they deliver. They are listed nearest first.